What is the difference between smooth and textured implant surfaces?
Breast implants also are available in two surface types: smooth and textured. Textured implants were originally developed to reduce the chance of capsule contracture (see below). Smooth implants do not attach to the surrounding tissues, while textured implants do attach to the surrounding tissue. The two different surfaces give the surgeon some additional choices in optimizing the breast augmentation results. In the case of a patient with better quality breast tissue, with good thickness, a textured implant will attach to the chest wall and the underside of the breast tissue or muscle, and may result in less stress on the lower portion of the breast because all the weight of the implant isn’t sitting on the bottom of the breast. This is somewhat theoretical. In the case of a patient with very thin tissue, a textured surface will attach to the underside of that tissue, and may be more likely to demonstrate visible rippling as when the implant ripples; it pulls the breast tissue in with
